The pancreas is a very small but capricious gland, and if not everything is in order, a person has to abstain from many of his favorite dishes and products. In order not to provoke acute pancreatitis or an exacerbation of chronic pancreatitis, it is necessary to follow a diet commonly called the 5P table.
What can you eat if you have pancreatitis? We will talk about it in this article. Let's consider the most frequently asked questions about prohibited and permitted foods for this disease.
What vegetables can you eat?
Tomatoes
Can you eat tomatoes if you have pancreatitis? As for tomatoes, the opinions of nutritionists are divided: some believe that they are very useful because they contain delicate fiber, which is so necessary for the gastrointestinal tract, and removes harmful cholesterol from the blood, which is very important for the pancreas.
Others believe that it is worth refraining from their use, especially during an acute process or even a mild exacerbation of chronic pancreatitis. You definitely should not eat unripe tomatoes, which contain many toxins that burden all organs of the digestive system.
But fresh tomato juice made from ripe tomatoes (not juice from industrial bags, but squeezed from fresh tomatoes) turns out to be a very valuable product that stimulates the pancreas, especially when mixed with freshly squeezed carrot juice. You can also eat stewed or baked tomatoes. But moderation must be observed in everything; the abuse of even healthy foods can affect the functioning of the pancreas.
Tomato juice is choleretic, that is, choleretic. If you drink it during an exacerbation of chronic pancreatitis, it will most likely be even worse, since secondary reactive pancreatitis will develop, as in cholelithiasis. Excess bile will be thrown into the common pancreatic duct, where it will activate pancreatic enzymes, which will digest not the food in the small intestine, but the gland itself. The result is acute pancreatitis, a stretcher, an operating table for pancreatic necrosis and therefore disability or death.
Therefore, tomatoes and tomato juice are allowed in the remission of chronic pancreatitis, when there is no pain, no swelling on ultrasound, no increase in amylase, diastasis, elastase and other signs of inflammation.
All recommendations in this article are indications for the 5P table for chronic pancreatitis during the recovery period after a flare-up and outside of a flare-up. To avoid acute pancreatitis, you should not drink alcoholic beverages (especially strong drinks) and some medications.
cucumbers
If you have pancreatitis, can you eat cucumbers or not? Cucumbers, despite being made up of 90% water, are actually very rich in microelements and vitamins. You can eat cucumbers for this disease, in addition, for treatment, sometimes a cucumber diet is prescribed for pancreatitis, when a person eats 7 kg of cucumbers in a week, this unloads the pancreas and prevents inflammatory processes in it . Once again we talk about the fact that everything is useful in moderation; with excessive consumption of cucumbers, especially if they contain nitrates or, even worse, pesticides, the benefits are reduced to zero.
Cabbage
Is it possible to eat cabbage and broccoli if you suffer from pancreatitis? Cauliflower, broccoli, Chinese cabbage can be eaten, but it is better stewed or boiled. Ordinary white cabbage, which we know better, has a very durable fiber, so it is forbidden to eat it raw, but after heat treatment it can also be eaten rarely. And of course, don't forget that you should avoid fried vegetables. And it is better to avoid sauerkraut, as it greatly irritates the mucous membranes. Peking cabbage can sometimes be eaten raw, but any type of cabbage should be introduced into the diet with caution after an exacerbation.
Is sea kale healthy? The answer of nutritionists is yes, it is the healthiest of all types, since it contains a large amount of cobalt and nickel, without which the normal functioning of the gland is impossible. Is it possible to eat seaweed if you suffer from pancreatitis? Yes, . . . only for residents of Southeast Asia (Japan), since the enzyme systems are different from European ones. Even medicines in Japanese pharmacies indicate that they may not help Europeans. Therefore, you should not eat seaweed during pancreatitis, especially during exacerbation. This is not like other types of cabbage, this product is closer to mushrooms, that is, its use will require a massive release of pancreatic enzymes, which will cause worsening of inflammation. Therefore, algae, like mushrooms, are not given to children under 12 years old (they do not have the appropriate enzymes) and are contraindicated for pancreatitis.
What fruits can you have for pancreatitis?
It is undesirable to consume all acidic fruits, especially those with coarse fiber, especially during flare-ups. You can eat fruit only 10 days after the onset of pancreatitis remission. Furthermore, in case of chronic pancreatitis, you should not abuse various fruits, it is sufficient to eat 1 permitted fruit per day. Of course, in terms of the content of nutrients, vitamins and minerals, they have no equal and that is why they are useful to the gland, but the presence of coarse fibers harms their functioning:
- You can eat: strawberries, sweet green apples, papaya, pineapple, avocado, watermelons
- You can not eat: pears, all kinds of citrus fruits, sour apples, peaches, plums, cherries, mango
- During remission, experiments with the consumption of various fruits are allowed, provided that they are thermally treated - in a water bath, in the oven.
There are some rules about when and how to eat fruit with pancreatitis:
- Permitted fruits must be cut, ground and crushed as carefully as possible.
- It is recommended to consume it after baking or steaming
- You shouldn't eat more than one fruit a day
- You should know exactly the list of allowed and prohibited fruits and know the medications to take if you accidentally eat an unwanted fruit.
Is it possible to eat strawberries and bananas with pancreatitis and why? Most nutritionists believe that the pancreas, without exacerbation of pancreatitis, is able to cope with strawberries in small quantities, but everything is individual. It is best to avoid eating bananas.
Is it possible to drink alcohol if you suffer from pancreatitis?
The pancreas categorically rejects any alcoholic beverage. Of all the organs of the gastrointestinal tract, this gland is the most susceptible to the toxic effects of alcohol. Unlike the liver, it does not have an enzyme capable of breaking down alcohol. It is known that more than 40% of all cases of acute pancreatitis occur after heavy drinking, fatty snacks or a long merry party.
In chronic pancreatitis, when drinking alcohol, there is a high risk of repeated attacks of acute pancreatitis, leading to severe functional and anatomical destruction of the pancreas. And as you know, unlike the liver, this gland is not fully restored. And with each intake of alcohol, the formation of foci of fibrosis progresses, which essentially means that the pancreas not only becomes inflamed, but rots.
So, what shouldn't you eat if you have pancreatitis?
Fat food
The pancreas really doesn't like fatty foods, smoked foods, foods that are high in protein or fat.
- Meat.Therefore, fatty meats (pork, duck, goose) should be excluded, especially kebabs, cutlets, sausages, stewed meat and canned food.
- Fish.Fatty fish are also excluded from the diet: sturgeon, salmon, trout, salmon, herring, sprat, mackerel, catfish, as well as caviar and canned fish, salted and smoked fish.
- Brodi.According to gastroenterologists, it is difficult to find a product more harmful to the pancreas than bone-rich broth, aspic. And many people try to take strong chicken soup to the hospital to improve their health. This is a big mistake!
Products containing artificial colours, flavors and preservatives
They also do not spare the pancreas. On the shelves of our supermarkets there are practically no products without the chemical additives listed above, so recently the number of patients with pancreatitis of various degrees of severity is constantly growing. This becomes especially scary for children, because they also consume large quantities of harmful chemicals called "baby yogurt" (filled with preservatives, flavors and flavor enhancers), smoked baby sausage, "baby sausages" - by definition they cannot There are sausages for children, Children should definitely not eat these foods! ! ! And then we wonder why a 10 year old has pancreatitis?
Dairy products
Glazed curds, fatty varieties of cottage cheese, cheeses, especially smoked and salted ones, should not be consumed. Ice cream is also contraindicated, especially since recently it was produced not from natural butter, milk and cream, but from palm oil, dry cream and milk, which go through several stages of chemical processes, which makes it very difficult for the gland when such products enter the body. body.
Drinks
As for drinks, the pancreas does not really like soda and lemonade, which cause bloating and are usually saturated with all possible dyes, sweeteners, flavors and even preservatives. As with coffee and cocoa, these are also prohibited drinks, especially on an empty stomach. Even strongly brewed tea and bread kvass are harmful to the capricious gland. Many manufacturers of soluble chicory claim that this drink is almost a panacea and can be drunk against gastritis, pancreatitis and cholecystitis. In terms of effects on the gastrointestinal tract, soluble chicory is as harmful as coffee, therefore, when following a diet for pancreatitis, it is advisable to exclude it or consume it only in very rare cases, not on an empty stomach, listening to your sensations; if you feel the slightest discomfort after consuming it, you should discard it altogether.
- Confectionery- sweets, baked goods, chocolate - put a lot of strain on the pancreas.
- Egg.Hard-boiled or fried eggs are contraindicated.
- Vegetables.Coarse, hard and spicy vegetables such as radishes, garlic, horseradish, lettuce, sorrel, mushrooms, legumes, peppers, onions (raw) cannot be consumed in any form. The remaining vegetables are very necessary, but only boiled or steamed.
- Fast food.Such food is dangerous even for a completely healthy person, and if we talk about pancreatitis, then there are practically "poisonous" finished products - this is a direct path to a hospital bed.
- Fruit.There are also restrictions here: they cannot be eaten raw, especially sour ones (citrus fruits, cranberries) and too sweet ones - grapes, figs, persimmons.
Proper nutrition: what can you eat if you have pancreatitis?
Everyone knows that the pancreas loves during an exacerbation: hunger, cold and peace. And outside of a flare-up, it is very important how much, how often, when and what a person suffering from pancreatitis eats.
It is very important to follow certain rules and diet, the most important thing is to eat small amounts of food, quite often, preferably every 3 hours, limit food intake at night and, of course, not eat certain types of foods.
Compliance with these rules is the key to long-term remission and a full life with pancreatitis. What can you eat with pancreatitis without damaging this small organ?
- Vegetables:As we said, cucumbers in the form of puree, tomatoes, preferably in the form of juice, broccoli, cauliflower, potatoes, carrots, zucchini, beets, peas - only baked or boiled are useful. It is very convenient and healthy to prepare vegetable casseroles or vegetarian soups. White cabbage should be limited and consumed only boiled or stewed.
- Fruit:strawberries, sweet apples, pineapple, avocado in the form of compote, jelly, it is especially good to make fruit puree with apricots, and you can not eat more than 1 piece of watermelon or melon.
- Milk:Many people don't know if milk is good for pancreatitis? It is not recommended to consume milk in its pure form, since its degradation requires enzymes, which are already insufficient for pancreatitis; after 14 years no one should drink milk in its pure form, except rarely and separately from other products. In pancreatic diseases, whole milk can cause both diarrhea and flatulence. Among dairy products, kefir, yogurt and other liquid fermented milk products are considered the most ideal. You can also eat cottage cheese, but with a fat content of up to 9%. It is very convenient and quick to prepare various lazy casseroles and dumplings with cottage cheese. Sour cream and fatty, hard cheeses are excluded, so only cheeses like Gouda and mozzarella remain.
- Meat:with meat products everything is clear: no fat, so only lean veal, chicken (without skin), turkey, boiled rabbit meat remains, you can also make soup with meatballs, soufflé and steamed cutlets.
- Egg:no more than 2 eggs per week and only soft-boiled, it is very difficult for the pancreas to handle the yolk, so it is better to eat only the egg white.
- Porridge, cereals, pasta:This is the most dietary food. Oatmeal, buckwheat, semolina and rice porridge are useful. Barley and millet are excluded as they are very difficult to digest cereals. The paste can also be consumed in case of pancreatitis, with the addition of a small amount of sunflower seeds or butter.
- Fish:Also, the fish should be lean, boiled or baked, you can make steamed cutlets. Very useful are pike perch, cod, cod and pike.
- Bread:Wholemeal bread is one of the prohibited foods, so you can eat white bread, preferably dry; biscuits can be just biscuits, unsweetened and unsweetened.
- Sugar:Few people can eat without sweet foods; with pancreatitis, sugar is a strong irritant, but sometimes you can make your own jelly. But you should give up all store-bought sweets: in addition to sugar, they contain such harmful chemicals that it is very difficult for the pancreas to cope with them. From time to time you can indulge in jam, marshmallow or marshmallow.
- Drinks:Only poorly brewed tea, preferably green, compote, jelly, decoctions of medicinal herbs, rose hips. Mineral water is very useful for this disease.
Question Answer:
Is it possible to have goat's milk?
Goat's milk is a rather difficult product for the pancreas. Since its fat content exceeds that of cow by two and a half times. People who traditionally use this product as their main product have enzyme systems better suited to its use. But if you're not used to it, goat's milk can cause digestive upset. Therefore, when introducing this type of milk and products based on it, you need to be careful, start with small portions and gradually increase them with normal tolerance. The absence of nausea, loose or pasty stools will indicate that the product is digested normally.
Is it possible to have matsoni?
Matsoni, like other fermented milk products, is not contraindicated in chronic pancreatitis. The point will be in the fat content of the milk from which it is prepared. Too rich milk is obviously undesirable.
Is it possible to prepare leavened baked goods, puff pastry and gingerbread?
During periods of exacerbation of pancreatitis, cooking yeast is not indicated. During remission, yeast-based baked goods should be dosed wisely. Puff pastry is not contraindicated. In gingerbread cookies, first place will be the degree of sweetening (in case of insulin and pancreatitis problems) and the icing with which they are covered. In cheap confectionery products, a glaze made from refractory fats (coconut and palm oil) is often used, which does not improve pancreatic health.
Can I have cinnamon?
Cinnamon is a spice that is sold only in specialized stores or brought by distributors. What we buy in bags in hypermarkets is a cheaper option called cassia. This pseudo-cinnamon has been associated with stories that it helps with type 2 diabetes. This is actually not the work of the pancreas, but the response of insulin receptors in the tissues. There is no decent evidence of this anywhere. In general, cinnamon increases the production of gastric juice, being a stimulant, so it is not recommended in pancreatitis flare-ups.
Is it possible to eat liver: stomach, heart, liver?
Products related to the liver (heart, stomach), as well as liver, are not contraindicated for pancreatitis if boiled or stewed. It is best not to eat these fried foods.
Is it possible to have melted cheese, coffee, chocolate, bread?
It is recommended to choose processed cheeses without spicy seasonings and a large number of emulsifiers and preservatives. You should not abuse chocolate. You can eat bread. Coffee is not recommended regularly and during flare-ups. The solution is to add milk and drink in small cups infrequently.
Can I have brown and white rice and olive oil?
You can eat rice. Add olive oil to salads and other dishes as usual. Without fanaticism.
Is it possible to pickle cabbage?
Cabbage brine is contraindicated as a hangover cure because alcohol destroys the pancreas. In general, outside of exacerbation of pancreatitis in the absence of inflammation of the stomach or duodenum, a couple of spoons of brine cannot harm, but it is not recommended to drink it in glasses.
Salty lard?
Fat puts a strain on the liver and bile ducts. In this case, the pancreas may suffer secondarily. Against the background of remission of pancreatitis, you can eat lard, but in reasonable portions of a couple of pieces per day a couple of times a week.